Copyright © Diane Gainey -

"Peace is not a relationship of nations. It is a condition of mind brought about by a serenity of soul."


North Cumbria out of hours service provider - CHOC (Cumbria Health On Call)

An OOH Palliative Care Kit, carried by each car. (Same kit is available in CHOC treatment centres)

NO INJECTABLE MORPHINE OR DIAMORPHINE IS CARRIED IN THE KIT. Any patient likely to need more than 50mg of morphine/24 i.e. on more than 50mg 12h modified release morphine orally needs a pro-active plan for morphine or diamorphine supply at the end of life. Options are:

All apart from option 1 lead to delays for patient and family at a potentially very distressing time, so think hard about pro-active prescribing.

Palliative care communication pack 1 updated June 2009

Important News

Important Changes in Cumbria Palliative Care Prescribing Practice

Cumbria is changing practice, from 1st April 2011.

The Area Prescribing Committee has recommended the following changes:

  • All strong opioids are to be prescribed by brand name
  • "Just in Case" prescribing is to be encouraged and promoted
  • Morphine is to replace diamorphine as the subcutaneous injectable strong opioid of choice for palliative care patients in Cumbria


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North Cumbria Pallative Care website

The award winning North Cumbria Palliative Care website continues to receive around 30,000 page views a year. This is 82 page views every single day of the year, 2,500 hits every month, without any publicity or advertising program.


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